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WO2019080098A1 - Défibrillateur, procédé de gestion de détection d'état, système et dispositif de gestion de détection d'état - Google Patents

Défibrillateur, procédé de gestion de détection d'état, système et dispositif de gestion de détection d'état

Info

Publication number
WO2019080098A1
WO2019080098A1 PCT/CN2017/108043 CN2017108043W WO2019080098A1 WO 2019080098 A1 WO2019080098 A1 WO 2019080098A1 CN 2017108043 W CN2017108043 W CN 2017108043W WO 2019080098 A1 WO2019080098 A1 WO 2019080098A1
Authority
WO
WIPO (PCT)
Prior art keywords
state detection
defibrillator
detection result
detection
item
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/CN2017/108043
Other languages
English (en)
Chinese (zh)
Inventor
王启
陈大兵
李志伟
李利亚
岑建
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shenzhen Mindray Bio Medical Electronics Co Ltd
Shenzhen Mindray Scientific Co Ltd
Original Assignee
Shenzhen Mindray Bio Medical Electronics Co Ltd
Shenzhen Mindray Scientific Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Shenzhen Mindray Bio Medical Electronics Co Ltd, Shenzhen Mindray Scientific Co Ltd filed Critical Shenzhen Mindray Bio Medical Electronics Co Ltd
Priority to PCT/CN2017/108043 priority Critical patent/WO2019080098A1/fr
Priority to CN201780096243.1A priority patent/CN111263655B/zh
Priority to EP17930004.1A priority patent/EP3698846B1/fr
Publication of WO2019080098A1 publication Critical patent/WO2019080098A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3904—External heart defibrillators [EHD]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3925—Monitoring; Protecting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3968—Constructional arrangements, e.g. casings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3975—Power supply
    • A61N1/3981—High voltage charging circuitry
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3993—User interfaces for automatic external defibrillators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/02—Operational features
    • A61B2560/0204—Operational features of power management
    • A61B2560/0209—Operational features of power management adapted for power saving
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/02—Operational features
    • A61B2560/0204—Operational features of power management
    • A61B2560/0214—Operational features of power management of power generation or supply
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/02—Operational features
    • A61B2560/0266—Operational features for monitoring or limiting apparatus function
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02D—CLIMATE CHANGE MITIGATION TECHNOLOGIES IN INFORMATION AND COMMUNICATION TECHNOLOGIES [ICT], I.E. INFORMATION AND COMMUNICATION TECHNOLOGIES AIMING AT THE REDUCTION OF THEIR OWN ENERGY USE
    • Y02D30/00—Reducing energy consumption in communication networks
    • Y02D30/70—Reducing energy consumption in communication networks in wireless communication networks

Definitions

  • the present invention relates to the field of defibrillators.
  • a defibrillator is a high-risk first-aid device that, although not often used, is critical. Defibrillators are primarily used for defibrillation of dangerous conditions such as ventricular fibrillation and atrial fibrillation.
  • the defibrillator In order to ensure that the defibrillator is in use after being used, the defibrillator is generally tested periodically.
  • the defibrillator status detection function is a function to detect the defibrillator failure in advance and notify maintenance personnel to perform maintenance processing to finally achieve the defibrillator's availability.
  • the existing defibrillator state detection mainly includes: battery state detection item, charging function detection item, discharge function detection item and ECG front-end sampling function detection item, etc., which can be found through state detection and detection. The problem requires equipment maintenance personnel and handling and repair, otherwise it will lead to clinical use, the machine fails and cannot be rescued.
  • An automatic defibrillator is a defibrillator intended for use in public places, such as crowded places such as airports and stations. Unlike conventional defibrillators in hospitals, AEDs are equipped with disposable batteries and defibrillation pads. On the one hand, because the use situation is a public place, the maintenance and status detection status of the AED is often inaccessible, which may lead to the risk of the actual use of the device being unusable; on the other hand, the frequent status detection of the A ED is consumed once again. The battery power, which reduces the battery's standby life, may actually require the clinical risk of using a low battery.
  • This embodiment mainly provides a defibrillator, a state detection management method thereof, and a state detection management system.
  • an embodiment provides a state detection management method for a defibrillator, including: [0007] the defibrillator automatically performs state detection to obtain the current state detection result;
  • a defibrillator in an embodiment, including:
  • a state detecting module configured to automatically perform state detection on the defibrillator to obtain the current state detection result
  • a sending module configured to send the state detection result
  • a processing module configured to compare the current state detection result with the previous state detection result; if the current state detection result is different from the previous state detection result, the notification sending module uploads the current state detection result, and the state detection ends. If the current state detection result is the same as the previous state detection result, it is determined whether multiple state detection results obtained after performing multiple state detections in the preset inter-segment are the same; if the multiple state detections The result is the same, the notification sending module uploads the current status detection result, and conversely, the current status detection result is not uploaded, and the status detection ends.
  • an embodiment provides a state detection management system for a defibrillator, including a client, where the client receives a user login information, and generates a management interface; the management interface includes at least A device information area for displaying device information of a plurality of defibrillators associated with the user login information.
  • a management device for a defibrillator comprising a memory, and a processor, the processor performing the following process by calling a program in the memory:
  • the management interface includes at least a device information area, configured to display device information of a plurality of defibrillators associated with the user login information, where the device information includes at least a device serial number item And a status detection result corresponding to the device serial number;
  • the status detection result update is displayed in response to one of the following conditions:
  • an embodiment provides a state detection management method for a defibrillator, including: [0024] the defibrillator performs automatic state detection, and obtains the current state detection result;
  • an embodiment provides a defibrillator, the defibrillator comprising: a storage circuit, a charge and discharge circuit, a wireless communication module, and a controller,
  • the controller performs automatic state detection on the energy storage circuit and the charging and discharging circuit to obtain the current state detection result, and uploads the current state detection result through the wireless communication module in response to one of the following conditions, and the state detection ends;
  • FIG. 1 is a schematic structural diagram of a system of an automatic defibrillator according to an embodiment
  • FIG. 2 is a schematic diagram showing a circuit topology of an automatic defibrillator according to an embodiment
  • FIG. 3 is a flowchart of a state detection management method of an automatic defibrillator according to an embodiment
  • FIG. 4 is a flowchart of a state detection management method of an automatic defibrillator according to another embodiment
  • FIG. 5 is a schematic top view showing a topology of a discharge loop in an H-bridge circuit in an automatic defibrillator according to an embodiment
  • FIG. 6 is a schematic structural view of an automatic defibrillator according to an embodiment
  • FIG. 7 is a flowchart of a state detection management method of an automatic defibrillator according to still another embodiment
  • FIG. 8 is a schematic diagram of a management interface displaying device information area in a state detection management method according to an embodiment
  • FIG. 9 is a schematic diagram of a management interface display device management area in a state detection management method according to an embodiment.
  • FIG. 10 is a schematic diagram of a management interface displaying a user management area in a state detection management method according to an embodiment.
  • FIG. 11 is a schematic diagram of a device state detection report interface in a state detection management method according to an embodiment.
  • FIG. 12 is a schematic structural diagram of a state detection management system of an automatic defibrillator according to an embodiment.
  • connection and “connection” as used in this application include direct and indirect connections (connections) unless otherwise stated.
  • the inventors have found that the existing automatic defibrillator has a problem that the state detection scheme has a large energy consumption such as multiple defibrillation energy charging and discharging, and on the other hand, it cannot notify the device maintenance of the state detection result and the defect. personnel.
  • the state detection management system and the device according to the above embodiment, the flux consumption of the automatic defibrillator state detection result uploading process is optimized, and the automatic defibrillator networking and state can be saved. Battery energy consumption during the uploading of test results; users can also pass Over-state detection management systems and equipment, remote management of multiple automatic defibrillators, and detection and handling of machine failures can effectively avoid clinical risks.
  • FIG. 1 is a schematic diagram showing a system structure of an automatic defibrillator.
  • the defibrillation electrode sheet 202 is used for attaching to the chest surface of the human body 201, for releasing the defibrillation current to stimulate the human body, and of course, the electrode sheet can also be used for real body acquisition.
  • Connected to the electrode sheet 201 includes an ECG/impedance measuring channel 203 and a discharging circuit 204, and both the charging circuit 213 and the discharging circuit 204 are connected to the tank circuit 205.
  • the third controller 2 07 is respectively connected to the charging circuit 213 and the status indicator 206, the battery 208, and the third controller 207 is used for battery and power system management, wherein the battery actual status information and the remaining capacity are included, according to the current battery status.
  • the rate at which the charging circuit charges the tank circuit, the lighting operation indicating the status indicator 206, and the like are dynamically controlled.
  • the energy storage circuit 205 referred to herein refers to a storage circuit for storing electric energy for defibrillation, and includes a single element or a combination of a plurality of elements.
  • the storage circuit 205 includes a circuit including a storage capacitor and a storage inductor. At least one of the circuits and the like.
  • the first controller 208 is connected to the ECG/impedance measurement channel 203 and the discharge circuit 204, and the charging circuit 213, respectively, for controlling the ECG/impedance measurement channel 203, completing the parameter measurement of the ECG and the body impedance, and simultaneously controlling the charging circuit 213 and
  • the operating state of the discharge circuit 204 completes the defibrillation charging and discharging operation, and generates an associated excitation or control related operation to obtain a detection of the state of the detection item from at least one of the ECG/impedance measurement channel 203, the discharge circuit 204, and the charging circuit 213. result.
  • the RTC is a real clock circuit 211, which is respectively connected to the third controller 207 and the second controller 209, and the RTC can perform the state detection time recording according to the chirp signal, and generate the trigger information at a predetermined time. Start a state detection process with at least one detection item execution process.
  • the RTC generates fixed trigger information to the third controller 207, and the third controller 207 controls the system to perform automatic power-on selection to perform a corresponding state detection process, including charging the storage circuit 205 through the battery through the charging circuit, the first controller 208 obtains automatic detection execution results of various detection items from the ECG/impedance measurement channel 203 and the discharge circuit 204, and the charging circuit 213, and the second controller 209 obtains the state detection execution result from the first controller 208 and the third controller 207.
  • the state detection result is stored or/and the communication module 212 outputs the execution result.
  • the third controller 207 controls the system to power down and enters the low power sleep mode, and outputs the current state detection execution result through the status indicator 206.
  • the third controller 207 belongs to the main controller of the power supply and the battery management system
  • the first controller 20 8 belongs to the ECG/impedance parameter measurement front end and the main control of the defibrillation charge and discharge management.
  • the second controller 209 belongs to the upper controller on the main board.
  • the three controllers belong to different motherboards in this embodiment. Of course, in other embodiments, the three controllers may also be located in one. Different areas on the motherboard, or these three controllers can be integrated into one controller.
  • the controller mentioned in this article can be a processor (CPU or MCU), or an integration of multiple processors (CPU or MCU). Therefore, whether the three controllers are integrated into one controller or multiple controllers, the method for detecting the defibrillator provided by the embodiment is applicable.
  • the defibrillator provides one or more controllers for performing a state detection process of the defibrillator that includes at least one detection item execution process.
  • the state detection of the automatic defibrillator includes at least one detection item, each detection item is for detecting a performance of the defibrillator, and correspondingly obtaining a detection execution result, determining whether the defibrillator has a fault, where the detection item includes Detection of hardware circuit performance and detection of software performance.
  • FIG. 2 provides the circuit topology in an automatic defibrillator.
  • the defibrillator includes a controller M CU1, which is labeled 301, a discharge circuit 304, a test load, a charging circuit 302 (the same as the charging circuit 213 in FIG. 1), and a sampling circuit (as shown in FIG. The voltage sampling circuit in 2) and the battery (2 08 in Fig. 1) and the energy storage circuit 305.
  • the tank circuit 305 includes a capacitor C1 and a capacitor C2, and both the charging circuit 302 and the discharging circuit 304 are connected to the tank circuit 305.
  • the tank circuit 305 obtains energy from the battery through the charging circuit 302 and stores the energy.
  • the discharge circuit 304 includes: an H-bridge circuit 304 and a switching circuit, and the switching circuit includes a fifth switch K2 and a sixth switch K1.
  • the bridge bypass circuit 304 includes a first switch SW1, a second switch SW2, a third switch SW3, and a fourth switch SW4.
  • the H-bridge circuit is connected in parallel to the output of the energy storage circuit 305, and the control terminal of the H-bridge circuit is connected to the controller, and the controller outputs a first control signal to control the switching of the respective switches, the fifth switch K2 and the sixth Shaoguan K1 is connected to the test load (testload) and connected to the electrode piece for contacting the human body.
  • the fifth switch K2 and the sixth switch K1 are connected to the output of the H-bridge circuit through the midpoint of the bridge arm respectively connected to the H-bridge circuit.
  • the controller outputs a second control signal to control the breaking and/or closing of the fifth switch K2 and the sixth switch K1.
  • the test load (testload) And the electrode pieces are respectively connected to the energizing circuit, and the output of the H-bridge circuit is connected, and the bridge is passed through the bridge.
  • the circuit implements a discharge operation of the tank circuit 305.
  • the energy storage circuit 305 is used to extract two voltage inputs with different voltages to access the voltage input of the H-bridge circuit.
  • the energy storage circuit 305 adopts a circuit structure composed of capacitive elements, and of course, other electronic components may be included.
  • the test load simulates the load of the human body impedance, and is connected in parallel to the human body load end through the H-bridge circuit 304.
  • the controller realizes the test load by simulating the body impedance by controlling the on-off of the H-bridge circuit 304.
  • the power-on operation of the tank circuit 305 is realized by the controller controlling the conduction of the charging circuit, and the discharge operation of the tank circuit 305 is realized by controlling the continuity of the H-bridge circuit 304 in the discharge circuit.
  • the output of the sampling circuit 303 is connected to both ends of the charging circuit or the output of the tank circuit for measuring the voltage or current output by the tank circuit.
  • the circuit further includes an ECG and an impedance channel detecting circuit, wherein the controller MCU1 is further connected to the energizing circuit through the digital-to-analog converter 308, for example, to the output of the discharging circuit 304, or the input of the defibrillation electrode 306. end.
  • the controller MCU1 controls K1 and K2 to close simultaneously, and the test load (tes tload) is connected in parallel to the front end of the defibrillation electrode input.
  • the same MCU1 outputs an excitation signal of different characteristics through the digital-to-analog converter 308 to the input end of the defibrillation electrode, and the controller MCU1 obtains the feedback excitation signal from the input end of the defibrillation electrode through the signal adjustment circuit 309 and the analog-to-digital converter 307.
  • the specific indicators of ECG measurement include noise, gain and bandwidth.
  • the specific indicators of impedance measurement include measurement accuracy.
  • an embodiment of the present invention provides a state detection management method for an automatic defibrillator (hereinafter referred to as a state detection management method), including steps S110 to S150.
  • Step S110 The automatic defibrillator automatically performs state detection to obtain the current state detection result.
  • Step S120 Comparing the current state detection result with the previous state detection result; if the current state detection result is different from the previous state detection result, proceeding to step S150; if the current state detection result and the previous state detection If the result is the same, step S130 is performed.
  • Step S130 determining whether the plurality of detection results obtained after performing multiple state detections in the preset inter-segment is the same; if the plurality of state detection results are the same, proceeding to step S150, and vice versa; Then, step S140 is performed.
  • the preset interval is 7 days. The multiples mentioned in this article are two or more.
  • Step S140 The state detection result is not uploaded, and the state detection ends.
  • Step S150 Upload the current state detection result, and the state detection ends.
  • step S150 includes: the automatic defibrillator starts the wireless communication module, and sends the current state detection result by wireless communication. After the state detection result is sent out, the wireless communication module is turned off.
  • step S150 further includes: if the automatic defibrillator starts the wireless communication module, determining that the wireless connection is unsuccessful, proceeding to perform a preset number of wireless connections, for example, three times, if the connection is still unsuccessful, The automatic defibrillator stores the status detection result and enters the sleep state.
  • the state detection and management management method may further include step S100: preset a plurality of state detection points, and the automatic defibrillator detects sleeps in each state. The state wakes up and the status is detected. In one embodiment, after the state detection is completed, the automatic defibrillator enters a sleep state again.
  • the power-on engraving can be set as the state detection inter-turn point, and one of the daily engravings can be set as the state detection inter-measurement point, and one of the engravings per week is set as the state detection. The inter-measurement point, and an engraving of each quarter are set as the state detection inter-measurement point.
  • different states are detected at different points, and different detection items may be detected. For example, status detection performed every day and status detection performed every month may have some different detection items.
  • the status detection result includes the results of several detection items of the automatic defibrillator.
  • the automatic defibrillator configured in the public place is generally configured with a one-time battery power supply
  • the battery power consumption caused by the device networking is a major problem, for example, the device standby sleep state ⁇ , the current is within 1 mA, and the wireless communication module will be activated.
  • the peak power can reach 500mA or more; this will shorten the battery's standby life, which may lead to the risk of insufficient battery power during clinical use.
  • the state detection management method proposed in this embodiment focuses on optimizing the flux consumption of the automatic defibrillator state detection result uploading process, for example, the automatic defibrillator is in a low power sleep state under normal standby conditions, wireless The communication module is in the off state; when the state detection is required, the automatic defibrillator automatically performs the state detection.
  • the embodiment After acquiring the state detection result, the embodiment does not send the state detection result every time, but according to the current state.
  • the detection result and the historical state detection result are used to determine whether the wireless communication module is to be activated to send the state detection result, and the current state detection result is different from the previous state detection result, or is performed multiple times in the preset interval.
  • the multiple status detection results obtained after the detection are the same, and the wireless communication module is smashed and networked to send the current result for uploading, when the status check After the measurement result is sent out, the wireless communication module is turned off, so that the battery power consumption is greatly reduced due to the power consumption of the device networking.
  • the automatic defibrillator automatically performs automatic state detection, and the process of obtaining the current state detection result may be implemented by the following process.
  • the first detection strategy is automatically executed, and the first detection strategy includes at least one of performing an ECG measurement channel detection item, a discharge loop detection item, and an impedance measurement channel detection item,
  • the following steps are further included after the first detection policy is automatically executed:
  • the second detection strategy is automatically executed in the second inter-segment segment, and the discharging operation on the energy storage circuit is completed in the second inter-segment segment, wherein the de-fibrillation waveform is sequentially executed in the second detection strategy At least one of the detection item and the energy bleed function detection item.
  • the method before or after automatically executing the first detection policy, the method further comprises: automatically performing a battery capability detection item.
  • the trigger information may be acquired based on a fixed trigger or based on an event trigger.
  • the defibrillator can be built in a fixed circuit, and the fixed circuit can be a real clock (English full name: Real-Time Clock, English abbreviation: RTC), and the RTC can be preset.
  • the length of the fixed length is set, for example, every m hours, every n days, every p week, or every q month, and the length of the R TC is reached, and the defibrillator is triggered.
  • Perform defibrillation status detection For example, if the length of the last detection is 5 hours or 2 days, the defibrillator can perform the defibrillator state detection.
  • the specific detection item is not limited in this application.
  • the defibrillator is in a standby state, and the fixed clock RTC in the defibrillator generates trigger information according to a preset time rule for transmitting to the controller to initiate a state detection process.
  • the power generation trigger and the user input trigger may be mainly included.
  • the user may input an instruction to the defibrillator, which may be through a physical button or a virtual button of the defibrillator, or may be remotely controlled by the user through a terminal device in communication with the defibrillator.
  • the defibrillator is triggered to perform defibrillator status detection.
  • Specific event trigger mode The application is not limited.
  • the defibrillator further includes a human-computer interaction input and output component, and the trigger information is obtained based on an instruction input of the user through the human-machine interaction input and output component, and is sent to the controller to start the state detection process.
  • the defibrillator can also obtain a trigger event sent from the host computer (or the central station) through the communication module, thereby obtaining the trigger information for sending to the controller startup state detection process.
  • the controller of the defibrillator can control the charging circuit to perform a power-on operation on the energy storage circuit of the defibrillator after receiving the trigger information.
  • the controller of the defibrillator will automatically initiate a state detection process for detecting the defibrillator after receiving the trigger information, where the state detection process includes at least one about the defibrillator Detection item.
  • the foregoing steps include: searching for a state detection policy according to the trigger information, where different trigger information corresponds to different state detection policies, and automatically performing powering of the defibrillator according to the state detection policy operating.
  • a state detection strategy formed by combining a plurality of different detection items can be stored in advance. Based on different trigger information, the status detection strategy is different. For example, different detection intervals can be performed for different detection intervals.
  • Each detection item is for the detection of a performance of the defibrillator, and correspondingly obtains a detection execution result to determine whether the defibrillator has a fault.
  • the detection items herein include detection of hardware circuit performance and detection of software performance.
  • determining a state detection policy according to the trigger information at least one of the following manners:
  • A determining the state detection strategy according to an interval between the first detection interval and the second detection interval, wherein the second detection time is advanced between the first detection time, the first detection time and the second Detecting the daytime is the detection time of the fixed trigger.
  • a detection strategy may be defined for every m small, every n days, every p week, or every q month, and the detection items corresponding to these fixed lengths may be partially the same. Or part of the difference, some can only detect part of the detection item within the length of the fixed length, and some of the detection items can be detected within some lengths, which can be set according to other factors such as the actual use of the defibrillator, the purpose is to reduce The energy loss caused by the necessary detection items is not limited in this application.
  • the state detection strategy includes detection of at least one detection object, and detection of at least one detection item of the detection object, where the detection object refers to various functional circuits in the defibrillator,
  • the above detection items refer to various functions or parameters of the above-mentioned detection object.
  • Each state detection policy corresponds to one or more scenarios that trigger detection.
  • the power-on trigger and the user input trigger may be respectively defined to correspond to one or more detection strategies.
  • the defibrillator After the defibrillator is powered on, the defibrillator starts the defibrillator state detection detection process, and the activated defibrillator state detection detection process may be performed based on a preset detection strategy, and the preset detection strategy may be dynamically set or Static setting, the detection object and the detection item in the detection strategy can be updated according to actual requirements and other factors.
  • the specific setting is not limited in this application.
  • the detection object detectable by the defibrillator mainly includes a first controller, a second controller, a third controller, a battery, an RTC wake-up function, an ECG/impedance channel front end, a defibrillation basic function, and a Flutter discharge detection, synchronous defibrillation interface, charge rate 10 function, power supply voltage, etc.
  • ECG/impedance channel includes electrocardiogram (English abbreviation: electrocardiogram, English abbreviation: ECG) / ion implantation (English full name: impedance, English abbreviation: IMP).
  • the state detection flow of the defibrillator can be set to a state detection strategy in four scenarios: user detection, daily status detection, weekly status detection, and power-on status detection.
  • different state detection strategies can be provided, so that the detection items automatically started based on different application scenarios can effectively reduce the power consumption of the defibrillator battery and increase the service life of the battery.
  • the execution result obtained based on the automatic detection includes a fault code for characterizing that the automatic defibrillator has a fault.
  • the controller automatically executes the first detection strategy regardless of the scenario.
  • the ECG measurement channel detection term, the discharge loop detection term, and the impedance measurement channel detection term can be performed in any combination.
  • the execution result of any one of the detection items is indicative of the defibrillator failure
  • the first detection strategy or the current execution process is terminated, and the step of recording the execution result regarding the detection item is skipped. For example, record the fault code. This can effectively save power consumption, optimize the detection sequence, and shorten the detection time.
  • the ECG measurement channel detection item and the impedance measurement channel detection item are mainly for detecting whether the ECG and the IMP measurement channel are normal, and the two can share the sampling channel, for example, the circuit shown in FIG.
  • the channel detection circuit part of the topology.
  • the ECG measurement channel detection term and/or the impedance measurement channel detection term includes the following steps:
  • test load simulating body impedance is connected to the circuit of the above defibrillator as a load simulating human contact;
  • the sampling signal may be a voltage signal obtained by the voltage sampling circuit 303, or may be an acquired circuit loop current sampling signal.
  • the sampling signal in this embodiment can sample the output voltage of the tank circuit.
  • the following is an example of ECG channel detection and IMP channel detection.
  • the test load simulates the load of the human body impedance, and is connected in parallel to the human body load end through the H-bridge circuit 304, and the controller realizes the pass by controlling the on-off of the H-bridge circuit 304.
  • the test load simulating the body impedance is connected to the loop of the above defibrillator.
  • the H-bridge bypass circuit includes a first switch SW1, a second switch SW2, a third switch SW3, a fourth switch SW4, a fifth switch K2, and a sixth switch K1.
  • the fifth switch 2 and the sixth switch K1 are respectively connected to the test load (testload) and connected to the electrode piece for contacting the human body, and the controller outputs a second control signal to control the fifth switch K2 and the sixth switch K1. ⁇ and / or closed, when the fifth switch K2 and the sixth switch K1 are closed respectively, the test load (testload) and the electrode sheets are respectively connected to the loop.
  • the controller MCU1 can superimpose the generated excitation signal to both ends of the test load through the digital-to-analog converter 308, and the output voltage of the storage circuit 305 can be obtained by the voltage sampling circuit 303 to obtain the sampling signal.
  • the first switch SW1 and the fourth switch SW4 are connected in series, and the second switch S W2 is connected in series with the third switch SW3.
  • the fifth step K1 described above is used to control the communication of the above test load.
  • the second switch SW2 is electrically connected to one end of the storage capacitor C1, and one end of the first switch SW1 is electrically connected to one end of the storage capacitor C2, and both ends of the sampling circuit are respectively connected to the storage capacitor C1 and Both ends of C2 are electrically connected.
  • the fifth switch K1 is used to connect the object to be detected.
  • the object to be detected may be a termination load of other external analog human body.
  • the test load is turned on, and the H-bridge circuit and the test load form part of the H-bridge discharge circuit.
  • the H-bridge discharge circuit includes a first phase loop including a first phase, a third gate, and the test load, and the second phase loop includes the second Shaoguan, the above fourth pass and the above test load.
  • FIG. 1 and FIG. 2 are schematic diagrams showing the circuit structure of the defibrillator detecting circuit.
  • FIG. 1 is a schematic diagram of the human body electrically connected to the defibrillator through the electrode pad, and the other loads in FIG. 2 can be replaced with Test the load for the defibrillator detection process.
  • the controller controls the digital to analog converter 308 to generate an excitation signal.
  • the controller closes the fifth switch K2 and the sixth switch K1, inserts the test load into the circuit, samples and detects the measured impedance value through the analog-to-digital converter 307, and compares the measured impedance value with the resistance of the test load. For comparison, the measurement accuracy of the IMP impedance measurement channel is detected.
  • the IMP impedance measurement channel is normal, go to the next step for the next detection, otherwise generate an execution result indicating that the defibrillator is faulty.
  • the measured impedance value obtained can be obtained by the ratio of the voltage value obtained in the sampled signal to the current value.
  • the controller controls the digital-to-analog converter (DA C) 308 to generate an excitation signal
  • the analog-to-digital converter 307 samples and detects the measurement accuracy of the ECG channel.
  • Specific indicators include: noise, gain and bandwidth.
  • the digital-to-analog converter DAC is used to generate an excitation signal that includes signals of predetermined voltage and current values and frequency values.
  • the excitation signal generated by the DAC can be added to the front end of the circuit shown in Figure 2, and then sampled by the analog-to-digital converter ADC through a series of circuits to sample the signal.
  • the MCU1 compares the excitation signal output from the digital-to-analog converter DAC with the sampling signal sampled by the analog-to-digital converter ADC to determine the entire signal processing. Whether the path is abnormal.
  • the controller controls the digital-to-analog converter DAC to generate an excitation signal, and the analog-to-digital converter ADC samples the same frequency as the detection ECG channel.
  • MCU1 controls the closure of K1 and K2 to access the test load (TestLoad), ie TestLoad is electrically connected to PADS, which is equivalent to the electrode piece connected to the human body. Among them, TestLoad can simulate the body's resistance of 50 ohms.
  • the MCU1 obtains the impedance value of the impedance test channel and determines whether the impedance value is 50 ohms ⁇ 10%. If the impedance value satisfies the value range, the IjMCU1 can determine that the current impedance measurement channel is normal.
  • the measured impedance value is compared with the impedance value of the TestLoad simulation, and the MCU1 detects the measurement accuracy of the IMP channel based on the comparison result.
  • the next detection item can be entered. If it is determined that the ECG and/or IMP impedance measurement channel detection item fails, the fault code is recorded, the fault code is sent to the controller, and then uploaded to the device management system or the host computer server via the communication module such as Wifi/4G of the defibrillator. Thereafter, the defibrillator system enters a low power standby mode.
  • the foregoing discharge loop detection mainly includes an H-bridge discharge loop detection item.
  • the discharge loop detection item may include: detecting an on-off performance in a discharge loop including an H-bridge bypass circuit in the defibrillator, and generating an characterization in response to the continuity of the discharge loop
  • the vibrometer has a faulty execution result. Specifically, it may be in the following manner:
  • the above-mentioned discharge loop detection item may specifically include:
  • the target includes one of the following: the first switch, the second switch, and the third pass.
  • the value range of the first energy value may be 1J-2J or less, and is not limited in this application.
  • the controller acquires a loop current after the target is closed, and determines whether the on/off of the target is normal according to the corresponding loop current.
  • the discharge loop detection term mainly detects the on-off performance of the discharge loop including the H-bridge bypass circuit.
  • FIG. 5 is a topological structure of a discharge loop in an H-bridge circuit, and the discharge circuit including the H-bridge circuit includes a first switch SW1, a second switch SW2, and a third switch SW3.
  • HV1 and HV2 correspond to capacitor voltages corresponding to the first phase loop and the second phase loop, respectively.
  • the controller can perform the following operations separately. First, to detect whether the above discharge circuit is normal:
  • the controller may close the first switch, obtain a corresponding first loop current, and determine whether the first switch is normally turned on or off according to the first circuit current;
  • the controller closes the second switch to obtain a corresponding second loop current, and determines whether the second switch is normally turned on or off according to the second loop current;
  • the controller closes the third switch, obtains a corresponding third loop current, and determines whether the third switch is normally turned on or off according to the third loop current;
  • the controller closes the fourth switch, obtains a corresponding fourth loop current, and determines whether the fourth switch is normally turned on or off according to the fourth loop current;
  • the controller closes the second switch, the third switch, and the sixth switch, acquires a corresponding fifth loop current, and determines whether the first switch is normally turned on or off according to the fifth loop current.
  • the first loop current, the second loop current, the third loop current, the fourth loop current, and the fifth loop current can be implemented by the controller to achieve the above closed mode, and the corresponding loop current is obtained at the sampling current position shown in FIG.
  • the controller can sequentially close the switch in the H-bridge circuit in a predetermined order to obtain the sampling current in the discharge circuit, and determine whether the switching-off in the discharge circuit is normal based on the sampling current, in response to the discharge circuit. If the continuity is normal, a step is performed to perform one test item.
  • an execution result characterizing the defibrillator abnormality or failure is output.
  • the current execution process i.e., the state detection process is terminated, thereby shortening the state detection process, directly reporting the failure result, and saving battery consumption.
  • the foregoing first detection strategy is not limited to the above-described ECG measurement channel detection item, discharge loop detection item, and impedance measurement channel detection item, and may include other detection items.
  • a power-on operation is performed on the defibrillator.
  • the defibrillator is in a standby state before acquiring the trigger information, waiting for the power-on operation of the defibrillator to be started based on the trigger information, and after the power is turned on, the circuit board is powered, and the cymbal is used for defibrillation.
  • the charge and discharge energy storage circuit will be connected to the circuit provided by the battery.
  • the tank circuit 205 will be in communication with the battery 208 after the energization operation, and the electrical energy provided by the battery 208 will be supplied to the tank circuit.
  • the circuit board and other circuit boards where the energy storage circuit is located may be powered on.
  • the controller in the defibrillator controls the battery to supply power to the tank circuit through the charging circuit based on the received trigger information.
  • the first detection strategy includes at least one of an ECG measurement channel detection item, an impedance measurement channel detection item, and a discharge loop detection item.
  • the controller in the defibrillator performs the first state detecting step to obtain the execution of the state detection from at least one of the charging loop, the discharging loop, and the impedance path. result.
  • the ECG/impedance measurement channel detection item is used to detect whether the measurement performance of the ECG channel is normal, and is specifically determined by evaluating parameters such as noise, gain, and bandwidth of the measurement channel, and the impedance measurement channel detection item is used for detection.
  • the ECG/impedance measurement channel detection includes at least one of ECG channel detection, and IMP channel detection.
  • the discharge loop detection item is used to detect the on-off performance of the discharge loop.
  • the foregoing recording the execution result of the detection item includes: recording an execution result indicating that the defibrillator has a failure.
  • the execution result includes the fault code, and the execution result mentioned in this article is equivalent to the state detection result.
  • a fault code is generated, and different detection items correspondingly obtain different fault codes.
  • different fault codes can be used in the output execution result to characterize which detection item detection output is faulty, so that the maintenance personnel of the equipment management platform can understand at a glance what kind of defibrillator is present. malfunction.
  • the state detection policy obtained based on a certain trigger information may further include: a battery capability detection item.
  • the controller automatically performs a battery capability detection item.
  • the method before or after the automatically executing the first detection strategy, the method further includes: automatically performing a battery capability detection item.
  • the step of automatically performing battery capability detection includes at least the following steps
  • A detecting the remaining battery power, determining whether the remaining power capacity meets the requirements
  • an execution result representative of the presence of a malfunction of the defibrillator is generated: [0126] (1) The above remaining power does not satisfy the requirement, (2) the above operating state is abnormal, and (3) the defibrillation charging is not completed within the predetermined time.
  • a combination of one or more of the above steps, B, and C may be selected as the step content of the battery capability detection, and the steps A, B, and C are not limited to have no sequential execution order.
  • One of the embodiments will be described below as an example.
  • the method may include:
  • the controller acquires a remaining battery power, and if it is determined that the battery power is not lower than the preset power according to the remaining power, the controller acquires a state of a register in the battery.
  • the status of the register may include an overvoltage, overtemperature, or overcurrent condition, and the register stores the operating status information of the battery. If it is determined that the state of the above register is normal, it can be determined that the battery is normal, and the controller defibrillates the storage capacitor through the battery at the same battery power supply.
  • the state of the register can include an overvoltage, overtemperature, or overcurrent condition, it can be determined that the state of the above register is abnormal, and the battery is determined to be abnormal.
  • the energy of the defibrillation charging can also be set to a preset energy.
  • the controller may determine that the battery has the normal load capacity. For example, the defibrillator can be set to defibrillate and charge to 360 joules (J) under power supply. If the defibrillation charge is used in the preset time, for example, 8s, the battery can be judged. normal. Correspondingly, it can be recorded that the battery capacity test result for the battery is normal, the defibrillator is not faulty, and instead, the defibrillator is characterized as having a fault.
  • J joules
  • the next detection item may be continued, for example, the energy retention detection item of the energy storage circuit, the defibrillation biphasic waveform detection, or the energy bleed function detection item.
  • the controller may determine that the load carrying capability of the battery is abnormal, indicating that the current detection fails, and the capability detection result for the battery may be recorded. To fault, and mark the fault code, generate an execution result indicating that the defibrillator has a fault, and jump to step 104 to record the execution result. Similarly, the fault code can also be transmitted to the device management system via the communication module built into the defibrillator. Accordingly, the defibrillator enters a low power standby mode.
  • the current automatic execution process of detecting the defibrillator may be terminated; the next detection item may also be continued, for example, the energy storage power may be The energy retention test of the road, the defibrillation biphasic waveform detection or the energy bleed function detection item.
  • the present application is not limited. From the viewpoint of saving energy, when the detection result for the battery is a fault, the process of automatically terminating the detection of the defibrillator is generally selected, so that the defibrillator enters a standby or a sleep state.
  • determining that the execution result of the first detection strategy output characterizes the defibrillator error performing a process of performing a charging operation on the energy storage circuit in the first inter-segment.
  • the output execution result indicates that the defibrillator has a fault
  • the current execution process is terminated, and the state detection process is terminated, thereby shortening the state detection process, jumping to the step of recording the execution result, and saving battery consumption.
  • the state detection process determines that the execution result output by the step of detecting the battery capability indicates that the defibrillator has no fault, performing the first detection strategy, or completing the pair
  • the above energy storage circuit performs a charging operation.
  • the state detection process is terminated, thereby shortening the state detection process, directly reporting the fault result, and saving battery consumption.
  • the above defibrillation waveform detection item may include:
  • the above defibrillation waveform detection item may include one of: defibrillation biphase waveform detection, defibrillation single phase waveform detection, and the like.
  • defibrillation biphasic waveform detection will be exemplified below as an example.
  • the controller closes the fifth switch in FIG. 2 and FIG. 5, turns on the test load, and connects the test load into the circuit loop, so that the storage circuit discharges the test load.
  • the above controllers perform the following operations:
  • the controller closes the first phase loop, acquires a first sampling current waveform sampled by the sampling circuit, and determines whether a difference between the first sampling current waveform and a preset first phase loop waveform is within a preset range. . If the difference between the first sampling current waveform and the preset first phase loop waveform is within a preset range, it may be determined that the waveform of the current first phase loop is normal.
  • the controller closes the second phase loop to obtain a second sampling current waveform sampled by the sampling circuit And determining whether the difference between the second sampling current waveform and the preset second phase loop waveform is within the preset range. If the difference between the second sampling current waveform and the preset second phase loop waveform is within a preset range, it may be determined that the waveform of the current second phase loop is normal.
  • the defibrillation current can be obtained from the current sampling position in the figure.
  • K2 in FIG. 5 is closed to turn on the test load R, and then SW1, SW3 are closed to turn on the first phase loop composed of SW1, SW3, K2, test load R, and then The ADC samples the sampled current waveform to determine whether the shape and parameters of the sampled current waveform are consistent with the preset.
  • the ADC samples the sampled current waveform to determine whether the shape and parameters of the sampled current waveform are consistent with the preset.
  • the defibrillator When the detected defibrillation current waveform is consistent with the preset waveform, the defibrillator is normal, and the execution result of the defibrillation waveform detection item is not faulty, otherwise, the defibrillator has a fault, and the output has a faulty execution. result.
  • the energy bleed function detecting item includes: causing the energy storage circuit to be in a discharging state, and detecting a second energy value (such as an output voltage value) of the energy storage circuit after the third predetermined time, and responding After the second energy value (such as the output voltage value) does not reach the preset threshold, an execution result indicating that the defibrillator is faulty is generated.
  • the energy bleed function detection item may specifically include: the controller closes the second switch (SW2 in FIG. 5 and FIG. 2), and the fourth switch (FIG. 5 and FIG. 2). SW4) and the fifth switch (K1 in FIG. 5 and FIG.
  • the energy retention detection item of the energy storage circuit Before the defibrillation waveform detection item in the second detection strategy, the energy retention detection item of the energy storage circuit is added, the battery performance can be comprehensively detected, and the cause of the failure is found, so that before the defibrillation waveform detection Identify the fault.
  • the energy retention detection term of the energy storage circuit is performed for less than or equal to three seconds.
  • the maximum value of the voltage for performing the first detection strategy and the energy storage circuit is less than The maximum value of the voltage of the second detection strategy ⁇ tank circuit is performed.
  • the detection item with the largest energy consumption is placed behind, and the battery power consumption can be reasonably and effectively arranged in the state detection process to save power consumption.
  • the energy retention detection item of the energy storage circuit includes at least the following steps.
  • the voltage of the storage circuit reaches a first voltage, and the voltage change of the storage circuit is detected in the first preset time, and
  • the voltage change exceeds a first preset value; (2) the first stored energy value is lower than a second preset value.
  • the energy storage circuit mainly includes the following two failure conditions: One is a difference in capacitance voltage/energy retention characteristics, and the leakage current is fast after charging. The other is that the energy value error of the energy storage component (such as a capacitor) in the energy storage circuit becomes larger.
  • the defibrillation energy accuracy of the defibrillator is reduced, thereby affecting the therapeutic effect of the defibrillator.
  • a possible detection scheme is proposed for the two failure conditions of the energy storage circuit: detecting ⁇ by defibrillating the storage circuit, and controlling the discharge of the discharge process.
  • the energy retention detection item of the energy storage circuit may specifically include:
  • the controller performs defibrillation charging on the storage circuit.
  • the controller After the voltage of the storage circuit reaches the first voltage, the controller detects a voltage change of the storage circuit in the first preset time.
  • the controller controls the discharge of the storage circuit to supply energy to the test load, and records that the voltage of the storage circuit changes from the first voltage to the second voltage.
  • the discharge time that is, the second preset time.
  • the controller calculates an actual capacitance value of the storage circuit based on the discharge time, the resistance of the test load, the first voltage, and the second voltage. [0160] If the actual capacitance value exceeds the preset capacitance value ⁇ , the controller determines that the state of the energy storage circuit is normal, otherwise the abnormality is abnormal, and there is a fault.
  • the first stored energy value is characterized by a capacitance value.
  • capacitance value a value that characterizes the first stored energy value, for example, a combination of inductance value, inductance and capacitance.
  • the battery capability detecting item is for detecting the charging performance, the energy storage maintaining performance, and the discharging performance of the battery to detect the load carrying capacity of the battery.
  • the energy retention detection item of the energy storage circuit is used for detecting the voltage of the energy storage circuit and the retention characteristic of the stored energy, and the power storage circuit can be used to detect the defibrillation discharge of the defibrillator, and the power supply of the energy storage circuit can be used. Endurance and leakage.
  • the energy storage circuit is an energy storage for the defibrillator to perform defibrillation treatment on the patient, and the defibrillator can complete the defibrillation treatment operation of the set energy.
  • the defibrillation energy is stored in the energy storage component by the charging circuit, and the defibrillation treatment for the human body is realized by discharging the stored energy in the energy storage component to the human body surface, and the energy storage circuit formed by the energy storage component It is the energy storage circuit.
  • Two-phase waveform detection is used to detect whether the current for automatically performing external defibrillation is a normal waveform, so that the defibrillator can be connected to the human body, and the two-phase current is discharged from the energy storage circuit to obtain the human body current. The waveform is then accurately compared to the two-phase waveform.
  • the energy bleed function detecting item is configured to detect whether the energy storage circuit can discharge to a certain threshold in a preset time, that is, to detect the safety of the discharge circuit of the energy storage circuit. If it can be discharged to a certain threshold, it can be determined that the energy storage circuit can discharge the stored energy below the safe voltage, indicating that the energy bleed function of the energy storage circuit is normal. For example, it can be set that the energy storage circuit can discharge the power to below 36 volts in the preset time zone, indicating that the safety performance of the energy storage circuit is normal.
  • any one of the detection items is executed, and once the detection item execution result indicates that the defibrillator has a failure, jumping to the execution result of the detection item with respect to the detection item.
  • the sequence of the state detection process may be: automatically performing the discharge loop detection item, the battery capability detection, the energy retention detection item of the energy storage circuit, the defibrillation waveform detection item, and the energy bleed function detection item in sequence. At least one of them.
  • determining that the execution result of the first detection strategy output characterizes the defibrillator without fault, performing a process of performing a charging operation on the energy storage circuit in the first inter-segment.
  • the execution result of the output indicates that the defibrillator has a fault
  • the current execution process is terminated, and the state detection process is terminated, thereby shortening the state detection process, jumping to the step of recording the execution result, and saving battery consumption.
  • the circuit performs a charging operation.
  • the state detection process is terminated, thereby shortening the state detection process, directly reporting the fault result, and saving battery consumption.
  • the defibrillation waveform detection item and the energy bleed function detection item are sequentially executed in order, and when the execution result generated by any one of the detection items is indicative of the defibrillator failure, the termination is terminated.
  • the current execution process jumps to the record execution result, terminates the current state detection path, and puts the defibrillator into sleep or standby state, and can also prompt the fault alarm through the defibrillator's own alarm.
  • the state detection process is performed according to the following steps: automatically performing a charging operation on the energy storage circuit of the defibrillator in the first inter-segment; after the charging is completed, in the second inter-segment
  • the energy retention detection item of the energy storage circuit is automatically executed;
  • the defibrillation waveform detection item is automatically executed in the second inter-segment;
  • the automatic energy release function detection item is in the second inter-segment section; and the execution result of the detection item is recorded .
  • the determination of whether the defibrillator is faulty may be added.
  • the execution result generated by one of the detection items indicates that the defibrillator has a fault
  • the process directly jumps to the step of recording the execution result. Otherwise, continue to execute other detection items in the state detection process until the step of recording the execution result is completed, and the defibrillator is put into a sleep or standby state, and the detection execution result is recorded, and the result may be reported to the upper level according to the detection execution result.
  • Machine or equipment management platform or management system may be used to report to the upper level according to the detection execution result.
  • This optimized process embodiment can apply pre-weekly automatic detection of the defibrillator, and a more streamlined process can be used in the daily automatic detection of the defibrillator to ensure that the defibrillator automatically initiates the automatic detection process.
  • Flexible and versatile it also optimizes inspection procedures, reduces inspection time, reduces battery drain, and extends battery life.
  • the ECG measurement channel detection item and/or the impedance measurement channel detection item, the discharge loop detection item, the battery capability detection, and the energy retention detection item of the energy storage circuit are sequentially performed.
  • the steps of defibrillation biphasic waveform detection and energy bleed function detection when the execution result of one of the detection items indicates that the defibrillator has a fault, the state detection process is terminated, and the defibrillator can enter the standby state, directly Jump to the step of recording the execution result. Otherwise, all detections are executed in sequence.
  • the subsequent items can be stopped, the entire detection process is terminated, and the corresponding fault code is generated. This reduces the energy loss caused by unnecessary inspection.
  • the sequence of the state detection flow may be: automatically performing a discharge loop detection item, a battery capability detection, an energy retention detection item of the energy storage circuit, a defibrillation waveform detection item, and an energy release function in sequence. At least one of the detection items.
  • the automatic defibrillator includes a state detecting module 01, a transmitting module 03, and a processing module 05.
  • the state detecting module 01 is configured to automatically perform automatic state detection on the automatic defibrillator to obtain the current state detection result.
  • the processing module 05 is provided with a plurality of state detecting inter-turn points for waking the automatic defibrillator from the sleep state at each state detecting inter-measurement point, and notifying the state detecting module 01 to the automatic defibrillator The state detection is automatically performed, and when the state detection is finished, the automatic defibrillator is controlled to enter the sleep state.
  • the processing module 05 can set the power-on engraving to the state detection inter-turn point, and can also set one of the daily engravings as the state detection inter-measurement point, one of the engraving settings per week. For the state detection, the inter-turn point, and an engraving of each quarter are set as the state detection inter-measurement point.
  • the sending module 03 is configured to send the status detection result.
  • the sending module 03 includes a wireless communication module 03a.
  • the processing module 05 activates the wireless communication module 03a.
  • the current state detection result is transmitted by wireless communication, and when the state detection result is transmitted, the wireless communication module 03a is turned off.
  • the processing module 03 controls the wireless communication module 03a to continue the wireless connection for a preset number of times, for example, three times. If the connection is still unsuccessful, the processing module 05 controls the automatic defibrillator to store the current state detection result and enter a sleep state.
  • the processing module 05 is configured to compare the current state detection result with the previous state detection result. If the current state detection result is different from the previous state detection result, the notification sending module 03 uploads the current state detection result, and the state detection is performed. End; if the current state detection result is the same as the previous state detection result, it is determined whether the state detection results in the preset interval are the same; if each of the preset segments is exceeded If the status detection results are the same, the notification sending module 03 uploads the current status detection result. Otherwise, the current status detection result is not sent, and the status detection ends. In one embodiment, the preset interval is 7 days.
  • the state detection management method may further include steps S210 to S216.
  • Step S210 Providing a client.
  • Step S212 After receiving the user login information, the client generates a management interface.
  • the management interface includes at least a device information area, where the device information area is used to display device information of several automatic defibrillators associated with the user login information.
  • the device information of any of the automatic defibrillators includes at least the device status item of the automatic defibrillator, the inter-turn item of the latest status detection result upload, the device serial number item, the device position item, and the maintenance status.
  • the device status item of the automatic defibrillator includes at least the device status item of the automatic defibrillator, the inter-turn item of the latest status detection result upload, the device serial number item, the device position item, and the maintenance status.
  • One of the item, the associated user information item, and the upgrade reminder item is included in the device status item of the automatic defibrillator.
  • the device information of several automatic defibrillators associated with the first user is displayed, and when the second user logs in, several devices of the automatic defibrillator associated with the second user are displayed.
  • f interest.
  • Step S214 The client detects the click information of the user on the management interface; when the client detects the device status item of any automatic defibrillator, the inter-turn item or the device serial number uploaded by the latest status detection result
  • the click information of the item ⁇ the device status detection report interface is generated, and the device status detection report interface includes at least the status detection result of the latest upload of the automatic defibrillator.
  • Step S216 When there is a fault in the automatic defibrillator, the information is sent to the corresponding user.
  • the state detection result includes a result of a plurality of detection items of the automatic defibrillator.
  • the client When the result of any one of the detection results of any of the automatic defibrillators is a failure, the client The status detection result is sent to the user associated with the automatic defibrillator. In an embodiment, when the client has not received the status detection result of an automatic defibrillator before the predetermined interval, the client sends a reminder message to the user associated with the automatic defibrillator.
  • the management interface further includes a device management area for the user to programmatically upgrade the automatic defibrillator in a wireless manner.
  • the management interface further includes a user management area for managing users associated with each user login information.
  • the client After receiving the user login information, the client generates a management interface, where the management interface may include a device information area, a device management area, a user management area, and the like. The display of each area may be clicked by clicking the device information on the management interface.
  • the device management click item b and the user management click item c are switched.
  • the management interface detects the click on the item information item a
  • the management interface displays the device information area, as shown in FIG. 8; similarly, when managing When the interface detects the click of the device management click item b, the management interface displays the device management area, as shown in FIG. 9; when the management interface detects the click on the user management click item c, the management interface displays the user management.
  • the area is as shown in FIG. 10; in an embodiment, the management interface generated after the client receives the login information of the user, and the default display area is the device information area.
  • the device information area displayed by the management interface in FIG. 8 may include device information showing one or more automatic defibrillators associated with the user login information, including displaying that the automatic defibrillator is normal.
  • the device status item with fault or no information, the interim item uploaded by the latest status detection result, the device serial number item, the device location item, the maintenance status item, the associated user information item, the upgrade reminder item, and so on.
  • the client detects the device status item of any automatic defibrillator, the click item of the last status detection result upload, or the click information of the device serial number item, a device status detection report interface is generated, as shown in FIG.
  • the content in the device status detection report interface may include the device model, serial number, location, and the like, and the status detection result of the most recent upload.
  • the user can perform program upgrade of the automatic defibrillator in a wireless manner by operating in the device management area, for example, selecting a program to be upgraded and an automatic defibrillator that needs to be upgraded. Program upgrade of the selected automatic defibrillator.
  • the user can manage the user associated with each user login information by operating in the user management area, and the user management area can display the nickname, real name, email address, etc. of each user. Add, delete, or edit various information about the user, such as the user's nickname, real name, email address, etc. mentioned above.
  • users with different rights can be set, for example, ordinary users and super users. After the ordinary user logs in, the user can view the user management area, but cannot add, delete, or edit, but after the super user logs in, Not only can you view it, but you can also add power, delete or edit.
  • the client can judge whether the user is a normal user or a super user based on the user login information.
  • the client transmits the status detection result to the user associated with the automatic defibrillator, for example, to the user.
  • Sending an email by email when the client has not received the status detection result of an automatic defibrillator after the preset period has passed, the client sends a reminder message to the user associated with the automatic defibrillator, for example Send an email to the user's email, send a text message to the user's mobile phone, and so on.
  • a state detection management system (hereinafter referred to as a state detection management system) of an automatic defibrillator, which enables a user to centrally manage multiple automatic defibrillators remotely, and The state of the automatic defibrillator.
  • the state detection management system may further include a background server and/or an automatic defibrillator disclosed in the embodiment, wherein the background server is configured to receive the status of each automatic defibrillator. The result is detected and called by the client.
  • the state detection management system includes a client, and after receiving the user login information, the client generates a management interface; the management interface includes at least a device information area for displaying a plurality of automatic defibrillators associated with the user login information.
  • Device Information includes at least the device status item of the automatic defibrillator, the inter-turn item of the latest status detection result upload, the device serial number item, the device position item, and the maintenance status.
  • the device status item of the automatic defibrillator includes at least the device status item of the automatic defibrillator, the inter-turn item of the latest status detection result upload, the device serial number item, the device position item, and the maintenance status.
  • the device status item of the automatic defibrillator, the inter-turn item of the latest status detection result upload, the device serial number item, the device position item, and the maintenance status.
  • the client detects the click information of the user on the management interface; when the client detects the device status item of any automatic defibrillator, the time item or the last time the status detection result is uploaded.
  • the click information of the serial number item generates a device status detection report interface, and the device status detection report interface includes at least the status detection result of the latest upload of the automatic defibrillator.
  • the state detection result includes a result of a plurality of detection items of the automatic defibrillator.
  • the client When the result of any one of the detection results of any of the automatic defibrillators is a failure, the client The status detection result is sent to the user associated with the automatic defibrillator; and/or, when the client exceeds the preset period, the state detection result of an automatic defibrillator has not been received, the client sends A reminder message is given to the user associated with the automatic defibrillator.
  • the management interface further includes a device management area for the user to perform program upgrade on the automatic defibrillator in a wireless manner.
  • the management interface further includes a user management area for managing users associated with each user login information.
  • a management device for an automatic defibrillator may be provided, the management device including a memory, and a processor, the processor calling a program in the memory To perform the following process:
  • the management interface includes at least a device information area, configured to display device information of a plurality of automatic defibrillators associated with the user login information, where the device information includes at least a device serial number Item and status detection result corresponding to the device serial number;
  • the status detection result update display a plurality of status detection results obtained after the automatic defibrillator performs multiple state detections in the preset inter-segment; and, the automatic defibrillator The results of the two adjacent state detections are different.
  • a state detection management method for an automatic defibrillator which includes:
  • the automatic defibrillator performs state detection to obtain the current state detection result
  • the current state detection result is uploaded, and the state detection ends: (1) the plurality of state detection results obtained after the automatic defibrillator performs the state detection in the preset inter-segment is the same; And, (2) The results of the two adjacent state detections on the automatic defibrillator are different.
  • an automatic defibrillator includes: a storage circuit, a charge and discharge circuit, a wireless communication module, and a controller,
  • the controller performs state detection on the energy storage circuit and the charging and discharging circuit to obtain the current state detection result, and uploads the current state detection result through the wireless communication module in response to one of the following conditions, and the state detection ends: 1) The multiple state detection results obtained by the automatic defibrillator after multiple state detection in the preset inter-segment are the same; and, (2) The two adjacent state detection results on the automatic defibrillator are different.
  • the state detection result in this embodiment includes: a fault code, which can be referred to the related description.
  • the automatic defibrillator and the state detection management method and the state detection management system provided by the embodiment can save the battery energy consumption during the uploading process of the AED networking and the state detection result on the one hand, and pass the state detection management system on the other hand.
  • the equipment management staff can manage multiple AEDs, and discover and handle machine faults, which can effectively avoid clinical risks.
  • the state inspection management system can also support AED equipment remote software upgrade and gps positioning.
  • all or part of the functions of the various methods in the above embodiments may be implemented by hardware or by a computer program.
  • the program may be stored in a computer readable storage medium, and the storage medium may include: a read only memory, a random access memory, a magnetic disk, an optical disk, a hard disk, etc.
  • the computer executes the program to implement the above functions.
  • the program is stored in the memory of the device, and when the program in the memory is executed by the processor, all or part of the above functions can be realized.
  • the program may also be stored in a storage medium such as a server, another computer, a magnetic disk, an optical disk, a flash disk or a mobile hard disk, by downloading or The copy is saved to the memory of the local device, or the system of the local device is updated.
  • a storage medium such as a server, another computer, a magnetic disk, an optical disk, a flash disk or a mobile hard disk, by downloading or The copy is saved to the memory of the local device, or the system of the local device is updated.

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Abstract

L'invention concerne un défibrillateur, un procédé de gestion de détection d'état, un système et un dispositif de gestion de détection d'état, qui optimisent la consommation de flux du défibrillateur dans le flux de téléchargement d'un résultat de détection d'état et qui sont en mesure de réduire la consommation d'énergie de la batterie du défibrillateur lors de la mise en réseau et du téléchargement du résultat de détection d'état. Un utilisateur peut également effectuer une gestion à distance sur une pluralité de défibrillateurs au moyen du système de gestion de détection d'état et permettre une détection opportune d'une défaillance de machine et sa gestion, ce qui permet d'éviter efficacement des risques cliniques.
PCT/CN2017/108043 2017-10-27 2017-10-27 Défibrillateur, procédé de gestion de détection d'état, système et dispositif de gestion de détection d'état Ceased WO2019080098A1 (fr)

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PCT/CN2017/108043 WO2019080098A1 (fr) 2017-10-27 2017-10-27 Défibrillateur, procédé de gestion de détection d'état, système et dispositif de gestion de détection d'état
CN201780096243.1A CN111263655B (zh) 2017-10-27 2017-10-27 除颤仪及状态检测管理方法、状态检测管理系统、设备
EP17930004.1A EP3698846B1 (fr) 2017-10-27 2017-10-27 Défibrillateur, procédé de gestion de détection d'état, système et dispositif de gestion de détection d'état

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CN111263655A (zh) 2020-06-09
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EP3698846A1 (fr) 2020-08-26

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